首页|青岛市中青年高血压患者焦虑、抑郁状况及其相关影响因素分析

青岛市中青年高血压患者焦虑、抑郁状况及其相关影响因素分析

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目的 了解青岛市中青年高血压患者焦虑、抑郁状况,并探索其影响因素。方法 选择青岛阜外心血管病医院心血管内科2021年1月-2022年8月收治的中青年高血压患者作为研究对象,以医院信息管理系统数据为基础,采用自行设计的问卷调查表收集患者基本资料,采用GAD-7量表评估患者焦虑状态,采用PHQ-9量表评估患者抑郁状态,应用描述性分析、单因素卡方分析和二元Logistic回归分析方法,分析中青年高血压患者的焦虑、抑郁状况及影响因素。结果 764例中青年高血压患者中,合并焦虑者154例(20。16%),合并抑郁者261例(34。16%),328例(42。93%)患者同时合并焦虑和抑郁。Logistic回归分析发现,近期遭遇重大生活事件打击、日平均工作时间及日平均睡眠时间与中青年高血压患者焦虑相关(P<0。05)。饮酒史、近期遭遇重大生活事件打击、年收入水平及日平均睡眠时间与中青年高血压患者抑郁相关(P<0。05)。结论 中青年高血压患者发生焦虑、抑郁的风险较大,突发重大生活事件打击、工作时间长、睡眠时间少、不良生活习惯等是中青年高血压患者焦虑、抑郁的影响因素,临床治疗需合并社会支持和心理疏导,保证患者的身心健康。
Analysis of Anxiety and Depression in Young and Middle-aged Patients with Hypertension and Its Related Influencing Factors in Qingdao
Objective To investigate the anxiety and depression of young and middle-aged patients with hyperten-sion in Qingdao city,and to explore its influencing factors.Methods Middle-aged and young hypertension patients admitted to the department of cardiovascular medicine of Qingdao Fuwai Cardiovascular Disease Hospital from January 2021 to August 2022 were selected as the research objects.Based on the data of the hospital information management system,the self-designed questionnaire was used to collect the basic information of the patients,and the anxiety state of the patients was assessed by GAD-7 scale.PHQ-9 scale was used to evaluate the depression status of the patients.Descriptive analysis,univariate Chi-square analysis and binary Logistic regression analysis were used to analyze the anxiety and depression status and influencing factors of the young and middle-aged patients with hyper-tension.Results Among 764 young and middle-aged patients with hypertension,154 patients(20.16%)had anxiety,261 patients(34.16%)had depression,and 328 patients(42.93%)had both anxiety and depression.Binary Logistic regression analysis showed that recent major life events,daily average working time and daily average sleep time were correlated with anxiety in young and middle-aged patients with high blood pressure(P<0.05).Drinking histo-ry,recent major life events,annual income level and average daily sleep time were correlated with depression in young and middle-aged patients with hypertension(P<0.05).Conclusion Young and middle-aged patients with hyperten-sion are at greater risk of anxiety and depression.Sudden major life events,long working hours,less sleep time,and bad living habits are the influencing factors of anxiety and depression in young and middle-aged patients with hyper-tension.Clinical treatment should be combined with social support and psychological counseling to ensure the physi-cal and mental health of patients.

HypertensionYoung and middle-aged peopleAnxietyDepressionInfluencing factor

韩欣、赵兵、孙涛、张彬、梁磊

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青岛阜外心血管病医院心内科,山东青岛,266000

高血压 中青年人 焦虑 抑郁 影响因素

青岛市医药卫生科研计划项目

2021-WJZD223

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(4)
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